在透析患者中,生物电阻相位角值和PR的延长和纠正的QT间隔
Masanori Shibata1,2, Kazuaki Asai1,2, Kojiro Nagai3
1Japan Association for Clinical Engineers, Tokyo, Japan.
Cardiorenal medicine
|March 20, 2024
概括
阶段角,体细胞质量的度量,与透析患者的心电图异常有关. 较低的相角值预测生存率更差,特别是在男性和非糖尿病患者中,这表明它可以用于评估心脏风险.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心脏病学 心脏病学
- 生物阻抗分析分析
背景情况:
- 来自生物电阻分析 (BIA) 的相角 (PA) 反映了血液透析 (HD) 患者的体细胞质量和营养状况.
- 在HD患者中,PA和心电图 (ECG) 参数之间的关系尚不清楚.
研究的目的:
- 研究在接受血液透析的患者中相角值和心电图参数之间的关联.
- 探索相角对心脏并发症和所有原因死亡率的预测值.
主要方法:
- 对224名HD患者 (平均年龄72.2岁) 的回顾性研究.
- 多频BIA在透析后进行,以确定PA.
- 评估了心电图参数 (PR间隔,QRS宽度,QTc间隔) 和老年营养风险指数 (GNRI).
- 心脏事件和存活率数据是在五年内收集的.
主要成果:
- 在女性和糖尿病患者中,QTc延长是普遍存在的 (62.1%),并且更高.
- 在男性和非糖尿病患者中观察到PA和QTc之间的逆关系.
- 较低的PA值与明显较差的五年生存率相关.
- 在特定子组 (男性,非糖尿病患者) 中,QTc和PR延长与生存相关.
结论:
- 阶段角与心电图发现和HD患者的心脏并发症有关,特别是在男性和非糖尿病患者中.
- 除了其在营养评估中的作用之外,PA可以作为预测血液透析患者心脏风险和死亡率的宝贵工具.
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